Kelly Simpson
Medical Government/Commercial Biller
Glendora,NJ
Summary
Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence.
Overview
20
20
years of professional experience
3
3
years of post-secondary education
1
1
Certification
Work History
Billing & Collections Specialist
Corridor Group
Overland Park, KS
04.2022 - 07.2022
- Executed billing tasks and recorded information in company databases.
- Collected data to complete detailed financial reports for stakeholders and management.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Followed up with appropriate parties to obtain prompt payments.
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
Medical Billing
NEWYORK PRESBYTERIAN HOSPITAL
, NJ
06.2021 - 08.2021
- Follow up on denied/partial paid claims
- Writing appeal letters on denied claims
- Receive and post payments
- Billing commercial insurance's and governmental (NY Medicaid, NJ Medicaid, Medicare)
Accounts Receivable Representative
, REMOTE, NJ
06.2019 - 05.2021
- Work with 11 Hospitals in Georgia, following up on unpaid claims
- Call insurance companies for the status of denied or partially paid claims
- Trial balance reports for the month
- Working correspondence received from insurance or patient
Medical Biller
KWENYAN PROFESSIONAL MENTAL HEALTH
NEW PROVIDENCE, NJ
05.2018 - 06.2019
- Out patient mental health billing
- Electronic Medicaid claims submission
- Posting payments, checking eligibility, and working denials
AR/Specialist
MED-METRIX
PARSIPPANY, NJ
03.2016 - 05.2018
- Follow up on insurance claims and underpayments
- Processing insurance claims to major commercial and governmental insurances
- Verify and update insurance as well as patients personal information
- Verifying insurance eligibility
Medical Biller/Financial Counselor
SUTHERLAND HEALTHCARE SERVICES
CLIFTON, NJ
09.2001 - 01.2016
- Verify and update insurance
- Posting payments and adjustments
- Financial Counseling for Charity Care
- Processing claims electronically to all insurances
Education
High School Diploma -
East Orange Campus High School
East Orange, NJ 09.1988 - 06.1991
Skills
OOS Medicaid, NJ Medicaid
MS Word, SMSNET, OAS gold, RCMS, Passport, Gaffey, Navinet, Contract Manager, and MpowerResearch and due diligence
Records organization and review
Billing systems and software MS Word, SMSNET, OAS gold, RCMS, Passport, Gaffey, Navinet, Contract Manager, Mpower & Epic
Certification
Phlebotomy & EKG
Timeline
Billing & Collections Specialist
Corridor Group
04.2022 - 07.2022
Medical Billing
NEWYORK PRESBYTERIAN HOSPITAL
06.2021 - 08.2021
Accounts Receivable Representative
06.2019 - 05.2021
Medical Biller
KWENYAN PROFESSIONAL MENTAL HEALTH
05.2018 - 06.2019
AR/Specialist
MED-METRIX
03.2016 - 05.2018
Medical Biller/Financial Counselor
SUTHERLAND HEALTHCARE SERVICES
09.2001 - 01.2016
Phlebotomy & EKG
01-1997
High School Diploma -
East Orange Campus High School
09.1988 - 06.1991